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Home My WebLink AboutMINUTES - 11182008 - C.12 (21) ' CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: NOVEMBER 18, 2008 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) OTICE-TO CLAIMANT and Board Action. All Section references are to JZt*hecopy of this document mailed to California Government Codes. you is your notice of the action taken �Y on your claim by the Board of Supervisors. (Paragraph IV below), OCT 17 2008 given Pursuant to Government Code Section 913 and 915.4. Please note all AMOUNT: $2,097.18 COUNTY COUNSEL "Warnings". MARTINEZ, CALIF. CLAIMANT: TAMSHA WMACK ATTORNEY: UNKNOWN DATE RECEIVED: OCTOBER 17, 2008 555 RODEO AVENUE #B OCTOBER 17, 2008 ADDRESS: RODEO, CA 94572 BY DELIVERY TO CLERK ON: . BY MAIL POSTMARKED: HAND.DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DAVID TWA, Clerk Dated: OCTOBER 17, 2008 By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( his claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board.cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). O Other: Dated: �I� �'� By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: (y� This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated NOde,!!!2 y/A o AVID TWA, CLERK, By'` eputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions,you have only six(6)months from the slate this notice was personally served or deposited in the mail to file a court action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney,you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated:,'• OZAVID TWA, CLERK, By Deputy Clerk This warning'do&knot pply to claims which are not subject'tottii not Tort Claims Act such as actions in inverse,condemnation, actions for specific relief such as mandamus or injunction, or Federal Civil Nights claims. The above list is not exhaustive and legal consultation is essential to understand all the separate limitations periods'that may apply. The limitations period within which suit must be filed may be shorter or longer depending on the nature of the claim. Consult the specific statutes and cases applicable to your particular claim. The County of Contra Costa does not waive any of its rights under California Tort Claims Act nor does it waive rights under the statutes of limitations applicable to actions not subject to the California Tort Claims Act ` p\^ I i y I S Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the, accrual of the cause of action. (Govt. Code 6911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled- in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this orm. RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED ) Against the County of Contra Costa ) OCT 1 7 2008 � CLERK CON T A COSTA CO.SUPERVISORS,NQ,S+i G0•'�iOfl �,Iy150(1 District) Fill in ) The undersigned claimant hereby makes claim again rt the�o y of Contra Costa or the above-named District in the sum of $ � 0) ' e I anO in support of this claim represents as follows (�c� , , SGS __`L�cJ /�Q�� 2SS/VoW44 - - 1. When did the damage or injury occur?((Give exact date and our) aYYlC1J 0A -I' Maro 2. Where did the damage or injury occur? (Include city and county) q45� 3• How did the damage or injury occur? (Give full details; use extra paper f required) CCt'OI�'(�U�10 C14�'1 �+ � �iV� C1�+' " 1N wefe. ioo�i + J dor Sbm eflnC, (on -+h s a dd re ss'e., ana 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? �CIZc � + C�-�- d What are the names of count or district officers servants or y , employees causing the damage or" injury? , koln) ASU rnuw e umd Isas) 3 13 _a lob 3 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimAd. Attach two est tes for auto damage. 1 os} Ojq(�s m uxx1�, r�P P�rmi+ress �co v)un i c�}u«. Fruur►2�" l� C)W,Vo nPM,A � �-h� nw 4al -s-6c; an�'�11i1d 7. How was the amount cla—imed above computed? (Include the estimated amount ofrWu ssnv- prospective injury or damage.) 4 O S+ �p�q �rr a kA.�a 1.51 0-0 h occr on = Mj65eol � �S c-`lvorx j Cl hour t�L�s- Ayres mo4+re55 &s4-� ,2aa. 'Pic eosf �a��eloc� f �Q� �s�asv��,2a� 7 a � ilzkca ��c 8. Names and addresses of witnesses, doctors and hospitals. -rniCa 1omaCk- 777e-50n !1'l¢ugcuse 77�so� ___��------------- ----------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 10. 3.01 �.1/Poo ko-k -(A a50 P', �� Stress a * * * * * a * a * a * OBR;aa * a * # aur * C U. 3 O$ itioveSS Gov. Code Sec. provides: SEND NOTICES TO: (Attorney) or ,-lae b me ersononihisd ed by the claimant " Name and Address of Attorney Claimant's Signature 5�5 Rode-o Ave. lj--8 Address 45 7�- /" 5�o�a53 33� Telephone No. 1 Telephone No�f/�� NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents 'for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. ;i (aS�-ct(rs C�s'1C� (��t1 S�RS . 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